Contact Form

[contact-form to=”admin@presaffirm.org.nz” subject=”AFFIRM website contact form”][contact-field label=”Your name” type=”name” required=”1″][contact-field label=”Your email” type=”email” required=”1″][contact-field label=”Your address” type=”text” required=”1″][contact-field label=”Your phone” type=”text”][contact-field label=”Your church” type=”text”][contact-field label=”” type=”select” options=”Minister,Elder,Member,None of these”][contact-field label=”Please add me to your mailing list for information about coming events etc.” type=”select” options=”Email,Post,Both email and post,Please unsubscribe me”][contact-field label=”Newsletter” type=”select” options=”Email,Post,Both email and post,Unsubscribe”][contact-field label=”How can AFFIRM help you?” type=”checkbox-multiple” options=”I would like more information,Please contact me”][contact-field label=”How can you help AFFIRM?” type=”checkbox-multiple” options=”I am willing to pray for AFFIRM. Please send me information.,I am willing to support AFFIRM financially. Please contact me.”][contact-field label=”Any further comments or questions” type=”textarea”][/contact-form]